In CMS
Aug 13th, 2018
According to a Department of Justice (DOJ) U.S. Attorney’s Office Southern District of New York press release, Mustak Y. Vaid is the latest physician sentenced in a big Medicaid fraud ring involving six Brooklyn clinics between 2007 and 2013, who filled “prescriptions and referrals for medically unnecessary and/or non-existent tests and supplies.” He falsely posed ...
In Audit
Aug 9th, 2018
Make a plan that is committed to preventing, correcting, and maintaining compliance. Compliance is more than a document outlining plans to meet generalized standards you heard about at a seminar. Compliance is about setting expectations for employees of ethical, proper behavior. It’s about: Demonstrating your organization’s commitment to “doing the right thing;” Designing a mechanism ...
In Billing
Aug 7th, 2018
In a time when many scoff at the potential of being levied steep penalties for violation of HIPAA rules, a judge just upheld a fine that the Department of Health and Human Services (HHS) issued in 2017 for Texas-based MD Anderson’s use of unencrypted devices. This penalty is stiff and says that you cannot just ...
In Coding
Aug 3rd, 2018
In most cases, the appropriate date of service when services last more than one day is the day the service concluded. Radiology services typically have two components: professional and technical. The DOS for the technical component is the date the patient received the service. Professional claims for “reading” are billed the day the physician provided ...
Jul 17th, 2018
If you are wondering where $341,000 of your taxpayer money went, look to former U.S. Department of Health and Human Services (HHS) Secretary Tom Price’s chartered aircraft expenses. On July 13, he resigned due to investigations of his use of chartered aircraft, MilAir, and other government travel-related expenses, which did not comply with federal regulations ...